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HomeMy WebLinkAboutMINUTES - 02152000 - C88-C96 TO: BOARD OF SUPERVISORS FROM: William Walker, M.D. , Health Services Director •',r Contra Costa By: Ginger Marieiro, Contracts Administrator COSta DATE: February 2, 2000 County SUBJECT: Approval of Contract Amendment Agreement #24-429-24 with Ujima Family Recovery Services SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee (Chuck Deutschman) to execute on behalf of the County, Contract Amendment Agreement #24-429-24, effective February 1, 2000, to amend Contract #24.429-23 with Ujima Family Recovery Services, to increase the Payment Limit by $33, 642 from $327, 528 to a new total Payment Limit of $361, 170 . FISCAL IMPACT: This Contract Amendment Agreement provides an additional $33 , 642 of State funding through the Employment and Human Services Department, for the provision of additional services for Ca1WORKs mothers and their children. CHILDREN'S IMPACT STATEMENT: This Alcohol and Drug Abuse program supports the Board of Supervisors' "Families that are Safe, Stable, and Nurturing" community outcome by providing parenting education, stability, and safety for mothers (and their children) and pregnant women who are alcohol and drug dependent . Expected outcomes include delivery of drug--free babies, decreased use of alcohol, tobacco and other drugs, reduction in the number of relapses, and creation of a sober social network. BACKGROUNDIREASON(S) FOR RECOMMENDATION(S) : On December 14 , 1999, the Board of Supervisors approved Contract #24-429- 23 with Ujima Family Recovery Services, for the period from July 1, 1999 through June 30, 2000 (which included a six-month automatic extension through December 31, 2000) , for the provision of a Residential Recovery Program and transition housing services for women. Approval of Contract Amendment Agreement #24-429-24 will allow the Contractor to provide additional services for Ca1WORKs mothers and their children, through June 30, 2000 . CQNTINUEDA RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER BIG 6IQRE(S):&9Z,_46. ,0e_ ACTION OF BOARD ON ° c l`h I ct�Clly0 _ APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS i HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTEDF" / Gti- Z 16, &610 PHIL BATCHELOR,CLERK OF THE BOARD OF Chuck. Deutschman (3136350) SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: CC: Health Services(Contracts) Risk Management Auditor Controller BY_ 7. 1GC �. - DEPUTY Contractor OAR V C11 TO: BOARD O F SUPERVISORS FROM: William Walker, M.D. , Health Services Director �. Contra By: Ginger Marieiro, Contracts Administrator HATE: February 2, 2000 Costa County SUBJECT: Approval of Contract Amendment Agreement #24-617-13 with Ujima Family Recovery Services SPECIFIC REQUEST(S)OR RECOMMENDATION(S)A BACKGROUND AND JUSTIFICATION RECOMMENDATION(S) : Approve and authorize the Health Services Director, or his designee (Chuck Deutschman) to execute on behalf of the County, Contract Amendment Agreement #24-617-13 , effective February 1, 2000, to amend Contract #24-617--12 with Ujima Family Recovery Services, to increase the Payment Limit by $117, 724 from $870, 160 to a new total Payment Limit of $987, 884 . FISCAL IMPACT: This Contract Amendment Agreement provides an additional $117, 724 of State funding through the Employment and Human Services Department, for the provision of additional services for CalWORKs mothers and their children. CHILDREN'S IMPACT STATEMENT: This Alcohol and Drug Abuse program supports the Board of Supervisors' "Families that are Safe, Stable, and Nurturing" community outcome by providing parenting education, stability, and safety for mothers (and their children) and pregnant women who are alcohol and drug dependent . Expected outcomes include delivery of drug-free babies, decreased use of alcohol, tobacco and other drugs, reduction in the number of relapses, and creation of a sober social network. BACKGROUND/REASON(S) FOR RECOMMENDATIONCS) : On December 14, 1999, the Board of Supervisors approved Contract #24-617- 12 with Ujima Family Recovery Services, for the period from July 1, 1999 through June 30, 2000 (which included a six-month automatic extension through December 31, 2000) , for the provision of residential and outpatient intensive day alcohol and drug abuse treatment services for women. Approval of Contract Amendment Agreement #24-617-13 will allow the Contractor to provide additional services for CalWORKs mothers and their children, through June 30, 2000 . CONTINUE12A I AT RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVEOTHER A& ACTION OF BOARD ON_.freb l"a&V� IS 4C7 APPROVED AS RECOMMENDED .k' OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED_ IJt [CrL y r 'j/t1 PHIL BATCHELOR,CL RK OF HE BOARD OF Contact Person: Chuck Deutschman (313-6350) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller By r ,/ t C c ..�._ _,DEPUTY Contractor TO: BOARD OF SUPERVISORS FROM: William B.Walker,M.D.,Health Services Director Con Ca Costa DATE: February 1S,2000 County SUBJECT: Reimbursement to City of Richmond for Certain Costs Incurred in Implementation of an Emergency Medical Dispatch Program SPECIFIC REQUEST(S)OR RECOMMENDATION(S)tie BACKGROUND AND JUSTIFICATION RECOMMENDATION: Authorize payment of$9,620 to the City of Richmond for reimbursement of certain costs incurred in the implementation of an Emergency Medical Dispatch system. FISCAL IMPACT: Funding,for this item will be made from County Service Area EM-1 funds designated for EMS system enhancements. There is no General Fund impact. BACKGROUND: The City of Richmond provides Emergency Medical Dispatch services for Richmond,El Cerrito,and Kensington. The City of Richmond has implemented an Emergency Medical Dispatch program in accordance with standards set by the Contra Costa EMS Agency and trained all dispatch personnel in that program. The Emergency Medical Dispatch program enables dispatchers to appropriately prioritize 9-1-1 calls for medical assistance,to dispatch the appropriate fire and ambulance units,and to provide first aid instruction over the telephone prior to the arrival of emergency medical teams on the scene. These funds will pay for the purchase of three laptop computers assigned fire personnel who assist in the ongoing monitoring and quality assurance,which is a vital component of the Emergency Medical Dispatch program. CONTINUED ON ATTACHMENT: NO SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE( )_ ACTION OF BOARD Ore�i -Izt 15,' 14 Q APPROVED AS RECOMMENDED �. OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS {ABSENT 1 AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: „--_ __- OF SUPERVISORS ON THE DATE SHOWN. Contact:Emergency Medical Services 646-4690 j CC: County Administrator ATTESTEDC County Counsel PHIL BATCHELOR,CLERK OF THE BOARD OF Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR Health Services Administration By�l/n DEPUTY TO: BOARD OF SUPERVISORS ,.". ,` Contra Costa . FROM: John Cullen, Director County Employment and Human Ser* es Department ' DATE: February 1, 20M SUBJECT: APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, and the In Home Supportive Services (IHSS)Authority Executive Director to AMEND Contract #40-072-2 with Independent Living Resource, Inc., raising the contract amount by $46,100 to a new limit of$92,200 and extending the contract period by six months for IHSS registry operations, for the period from January 1, 2000 through June 30, 2000. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, and the In Home Supportive Services (IHSS)Authority Executive Director to AMEND contract#40-072-2 with Independent Living Resource, Inc., raising the contract amount by $46,100 to a new limit of$92,200 and extending the contract period by six months for IHSS registry operations, for the period from January 1, 2000 through June 30, 2000. FINANCIAL IMPACT: County cost is $23,050 (25%), with remaining contract costs of$69,150 (75%) covered by State health and welfare funds. CHILDREN'S IMPACT STATEMENT: This contract supports two community outcomes established in Contra Costa County's Children's Report Card: "Families that are Economically Self-Sufficient", and "Families that are Safe, Stable, and Nurturing." Directed primarily at elderly residents and younger disabled adults, these services facilitate the stability and self-sufficiency of families by avoiding unnecessary institutionalization of disabled individuals. BACKGROUND: Can March 16, 1999, the Board of Supervisors authorized EHSD to contract with Independent Living Resource (ILR), Inc. to operate an IHSS Registry for four months,pending full operational implementation of the IHSS Authority. The IHSS Authority was to assume direct responsibility for registry operations. The Board subsequently approved an additional six-month contract with ILR through December 31, 1999. This amendment will allow an additional six-month extension of the contract with ILR through June 30, 2000 until the IHSS Authority itself is ready to assume full operation of registry services. The contract will provide for an earlier termination date if the IHSS Authority can provide registry services before June 30, 2000. i CONTINUED ON ATTACHMENT: Y SIGNATURE: ' RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S):&C ACTION OF BOARD ONra Y .� cy _/St?�rt� APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS{ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED .h f icc2 t ��, roc A1C'O PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: BOB SES$LER,3-1605 cc: EHSD CONTRACTS UNIT(CP) COUNTY ADMINISTRATOR BY . _ t ,DEPUTY AUDITOR-CONTROLLER ELDON LUCE (SUMMIT) CONTRACTOR TO: BOARD OF SUPERVISORS V William Walker, M.D. , Health Services Director FROM: By: Ginger Marieiro, Contracts Administrator •"f X Contra DATE: February -2, 2000 Costa County SUBJECT: Approval of Contract #26- 355-1. with East Bay Neonatology SPECIFIC REQUEST(S)OR RECOMMENDATION(S)S BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director or his designee (Frank Puglisi) to execute on behalf of the County, Contract #26-355-1 with East Bay Neonatology, in the . amount of $212, 076, for the period from January 1, 2000 through December 31, 2002, for the provision of neonatology services for Contra Costa Regional Medical Center. FINANCIAL IMPACT: Funding for this contract is included in the Department ' s Enterprise I Budget . As appropriate, patients and/or third party payors will be billed for services . REASONS FOR RECOMMENDATIONS/BACKGROUND: The number of deliveries at Contra Costa Regional Medical Center continues to increase, as does the percentage of high risk mothers . This service provides additional support to staff involved in the care of newborns and is consistent with the Department ' s efforts to reduce risk to the County. On October 20, 1996, the Board of Supervisors approved Contract #26-355 with East Bay Neonatology, for the period from October 1, 1998 through December 31, 1999, for the provision of neonatology services for Contra Costa Regional Medical Center. Approval of Contract #26-355-1 will allow Contractor to continue providing neonatology, administrative and teaching services for staff at Contra Costa Regional Medical Center through December 31, 2002 . z -CONTINUED ON AILACdMENT: SIGNATURE 4— RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD ON_. if-tt a r.4 C00 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT,_} AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED_I` �f-4ed O 4 / 5, ��i'g C1 PHIL BATCHELOR,CLERK OF THE BOARD OF Contact Person: Frank Puglisi (370-5100) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management ) , Auditor Controller BY �/ /'�}�,i �cv- DEPUTY Contractor TO: BOARD OF SUPERVISORS Contra ,��• , .I costa ` FROM: John Cullen, Directo f County Employment and Huma(1(c/esDepartment DATE: January 25, 2000 SUBJECT: APPROVE and AUTHORIZE the Director of Employment and Human Services, or designee, to EXTENT) contract #21-439-1 with Contra Costa Economic Partnership, from January 31, 2000 through July 31, 2000 for continued implementation of the County Job Creation Investment Fund Implementation Plan. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: APPROVE and AUTHORIZE the Director of Employment and Human Services, or designee, to EXTEND contract #21-439-1 with Contra Costa Economic Partnership, from January 31, 2000 through July 31, 2000 for continued implementation of the County Job Creation Investment Fund Implementation Plan. FISCAL: No additional County cost. BACKGROUND: Cal'WORKs legislation, AB1542,established the Job Creation investment Fund and named the California Trade and Commerce Agency as the lead State agency for the administration of the fund. The Trade and Commerce Agency disbursed funds on a grant basis for planning, development and implementation of job creation strategies. Contra Costa County applied for and received grant funds totaling $80,492 for the development and implementation of a Job Creation Plan. The Board established a Job Creation Task Force with leadership from the Contra Costa County Employment and Human Services Department and the Contra Costa Economic Partnership to develop and implement the Plan. The Job Creation Investment Fund implementation Plan was adopted by the Board, April 6, 1999 and submitted to the State for approval. The plan was accepted by the State, Implementation of the Plan was delayed by the State's timeline in reviewing the plan and developing the required Scope and Milestones. The California Trade and Commerce Agency extended the term of the grant to July 31, 2000. By extension of the above contract#21-439-1,the term of the contract will remain consistent with that of the grant for continued implementation of the Plan. CONTINUED ON ATTACHMENT: SIGNATURE: „RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ,��661�&Z- ACTION OF BOARD ON F—e4!"te-a,-__y � ' APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS �,r I HEREBY CERTIFY THAT THIS IS A TRUE t`k UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED f / X &0 C1 PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: DON CRUZE,3-1582 cc: EHSD CONTRACTS UNIT , COUNTY ADMINISTRATOR BY ,DEPUTY AUDITOR-CONTROLLER CONTRACTOR TO: BOARD OF SUPERVISORS Contra, °� Costa C i�aap FROM: John Cullen, Director �`�, ( ,,/ County Employment and Human Sir es Department DATE: January 26, 2000 SUBJECT: APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to AMEND Contract #21-501-1 to increase the contract amount with PharmChem Laboratories from $100,000 to $300,000 for costs associated with Court ordered substance abuse testing services. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: APPROVE and AUTHORIZE the Employment and Human Services Director, or designee, to AMEND Contract #21-501-1 to increase the contract amount with PharmChem Laboratories from $100,000 to $300,000 for costs associated with Court ordered substance abuse testing services. FINANCIAL IMPACT: These costs are Child Welfare System (CWS) non-federal Title IV-E funding, (70% State, 30% County) and are included in the Employment and Human Services Department budget. CHILDREN'S IMPACT STATEMENT: This contract supports one of Contra Costa County's community outcomes: "Families that are Safe, Stable and Nurturing," by helping parents address their substance abuse issues. BACKGROUND: Board authority, dated May 4, 1999, was given to enter into a contract with PharmChem Laboratories as a result of the February 28, 1999, RFP #1051 response. The contract was limited to substance abuse testing resulting from the collection of urine samples. By Board Order dated, October 26, 1999, the Board approved an amendment to add Sweat Patch testing as requested by the Juvenile Court. This amendment is adding funding to the program reflective of the level of use during the first six months of the contract. CONTINUED ON ATTACHMENT: YJ SIGNATURE: 14 X RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON /�C Z,16Ct e �S ,�(!rC/ APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED ' ,,Q. PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: DANNA FABELLA,3-1583 cc: EHSD CONTRACTS UNIT(CC) COUNTY ADMINISTRATOR BY �'l'). 74^r� r_r t.t , ,DEPUTY AUDITOR-CONTROLLER _ CONTRACTOR t�V TO: BOARD OF SUPERVISORS I y Y4. William Waller, M.D. , Health Services 4iWctor FROM: By: Ginger Marieirc, Contracts Administrator f .'i! Contra Costa DATE: January 28, 2000. County SUBJECT: Approval of Contract #27-077-5 with Richard Unger, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract #27-077-5 with Richard Unger, M.D. , for the period from January 1, 2000 through December 31, 2000, for the provision of professional psychiatric services for the Contra Costa Health Plan, to be paid as follows : 1. $100.00 per inital 45-50 minute therapy session; and 2. 70.00 for each additional 45-50 minute therapy session. FISCAL IMPACT: This Contract is funded by Contra Costa Health Plan (Health Plan) member premiums . Costs depend upon utilization. As appropriate, patients and/or third party payors will be billed for services . BACKGROUND/REASON(S) FOR RECOMMENDATION(S) : The Health Plan has an obligation to provide certain specialized professional health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. On February 23 , 1999, the Board of Supervisors approved Contract #27-077-4 with Richard Unger, M.D. , for the period from January 1, 1999 through December 31, 1999, to provide psychiatric services to Health Plan members . Approval of Contract #27-077-5, will allow the Contractor to provide professional psychiatric services to Contra Costa Health Plan members, through December 31, 2000 . C I T• q _4L RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE _ APPROVE OTHER ACTION OF BOARD ON 2!E�tJl6t&,OL, J�j a0d 0 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS �• 1 HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT l } AND CORRECT COPY OF AN ACTION TAKEN AYES.-- NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED Fe/J%''LyC,a y' /� PHIL BATCHELOR,CL RK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Cantact�'erson:iKilt Camhi (313-6004) t CC: Health Services(Contracts) Risk Management Auditor ControllerBY I���Cs` ,t,c.. Contractor DEPUTY TO: BOARD OF SUPERVISORS • FROM: William Walker, M.D. , Health Services- Directorti By: Ginger Marieiro, Contracts Administrator ' '�_ ,► Contra DATE: January 28, 2000 Costa County SUBJECT: Approval of Contract #27-206-3 with Virginia Blackledge, M.D. SPECIFIC REQUEST(S)OR RECOMMENDATION(S)6 BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Approve and authorize the Health Services Director, or his designee (Milt Camhi) , to execute on behalf of the County, Contract #27-206-3 with Virginia Blacklidge, M.D. , for the period from January 1, 2000 through December 31, 2000, for the provision of professional psychiatric services for the Contra Costa Health Plan, to be paid as follows : 1. $100.00 per inital 50 minute therapy session; and 2 . 70.00 for each additional 50 minute therapy session. FISCAL IMPACT: This Contract is funded by Contra Costa Health Plan (Health Plan) member premiums . Costs depend upon utilization. As appropriate, patients and/or third party payors will be billed for services . HACKGROUNDIREASON(S) FOR RECOMMENDATION(S) : The Health Plan has an obligation to provide certain specialized professional health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. On December 8, 1998, the Board of Supervisors approved Contract 427-206-2 with Virginia Blacklidge, M.D. , for the period from January 1, 1999 through December 31, 1999, to provide psychiatric services to Health Plan members. ` Approval of Contract #27-206-3 , will allow the Contractor to provide professional psychiatric services to Contra Costa Health Plan members, through December 31, 2000 . RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGN6TUR (8): ACTION OF BOARD ON dl," t r'!� APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTEf� E i Clt y / s, aG00 PHIL BATCHELOR,CLERK O THE BOARD OF Contact PersonMilt Camhi (.3136044) SUPERVISORS AND COUNTY ADMINISTRATOR CC: Health Services(Contracts) Risk Management Auditor Controller BY DEPUTY Contractor